Individual provider Active NPI

Neil W Hirschenbein, M.D.,PHD

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1457570889
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G28712 Issued in CA
Practice address
9339 Genesee Ave
Suite#150
San Diego, CA 92121-2119
Phone
(858) 546-8055
Fax
(858) 546-8281
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G28712 CA Primary

Addresses

Primary practice location

9339 Genesee Ave
Suite#150
San Diego, CA 92121-2119

Mailing address

9339 Genesee Ave
Suite#150
San Diego, CA 92121-2119
Phone (858) 546-8055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140714002486 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 4981655867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457570889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE",
            "address_2": "SUITE#150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212119",
            "telephone_number": "858-546-8055",
            "fax_number": "858-546-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9339 GENESEE AVE",
            "address_2": "SUITE#150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212119",
            "telephone_number": "858-546-8055",
            "fax_number": "858-546-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHENBEIN",
        "first_name": "NEIL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G28712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.